Reducing the spread of COVID-19 transmission through analysis of the evolving building ventilation systems guidance

The purpose of this study was to examine how data from the World Health Organization, United States Environmental Protection Agency and Center for Disease Control have evolved with relation to engineering controls for heating, ventilation and air-conditioning (HVAC) systems to mitigate the spread of spread of aerosols (specifically related to the COVID-19 pandemic) in occupied buildings.

A document analysis of the pandemic-focused position documents from the aforementioned public health agencies and national HVAC authorities was performed. This review targeted a range of evidence from recommendations, best practices, codes and regulations and peer-reviewed publications and evaluated how they cumulatively evolved over time. Data was compared between 2020 and 2021.

This research found that core information provided early in the pandemic (i.e. early 2020) for engineering controls in building HVAC systems did not vary greatly as knowledge of the pandemic evolved (i.e. in June of 2021). This indicates that regulating agencies had a good, early understanding of how airborne viruses spread through building ventilation systems. The largest evolution in knowledge came from the broader acceptance of building ventilation as a transmission route and the increase in publications and ease of access to the information for the general public over time.

The promotion of the proposed controls for ventilation in buildings, as outlined in this paper, is another step toward reducing the spread of COVID-19 and future aerosol spread viruses by means of ventilation.